PURPURA HEMORRHAGICA 167 



suggest that this form of treatment be tried in animals. 

 Other physicians have recently reported fine results in 

 the treatment of this disease in human beings from the 

 use of emetin hydrochlorid. 



Dr. E. L. Quitman claims excellent results from potas- 

 sium dichromate, oraUy, in three to six-grain doses every 

 few hours, in purpura hemorrhagica of horses. He claims 

 that the disease comes to a favorable termination in a 

 much shorter time under this treatment. I have not 

 been able to substantiate this, although I have not used 

 this treatment in a sufficient number of cases to either 

 recommend or condemn it. 



The best results that I have had were obtained with 

 mixed bacterins. I treat my cases very much like I treat 

 cases of septicemia. Bacterins and supportive medica- 

 tion consisting of nux vomica and bitter tonics, some 

 iron in the form of the tincture chlorid, and the handling 

 of complications as they arise, wiU have as good results as 

 other more troublesome and expensive procedures. 



Tracheotomy may be indicated in some cases. This 

 should be resorted to at the earliest moment that it be- 

 comes evident as a requirement. The tube must be kept 

 perfectly clean, and may be removed and the wound al- 

 lowed to heal as soon as the danger of suffocation has 

 passed. 



The convalescence from purpura hemorrhagica is slow. 

 Fowler's solution of arsenic, preparations of iron, quinin 

 and strychnin, good feed and nursing, are important in 

 after-treatment. 



Mild cases, promptly given bacterin treatment, may 

 make a complete recovery and be ready for work in three 

 weeks. Severe cases may require as long as two months 

 before they are again in working condition. Mares in 

 foal may pass through an attack of purpura hemorrhagica 

 and give birth to healthy colts. In one instance that 



